Association between Family Functioning, Child Emotional and Behavioral Problems, and Parental Stress during the COVID-19 Pandemic in Thailand
Abstract
1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Procedures
2.3. Measurements
2.4. Statistical Analysis
3. Results
3.1. Demographic Data of Participants
3.2. Effect of the COVID-19 Pandemic on Children’s Daily Activities
3.3. Emotional and Behavioral Problems Developed Due to the COVID-19 Pandemic
3.4. Association between Parental Stress, Family Functioning, and Children’s Strengths and Difficulties during the COVID-19 Pandemic
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Demographic | n (%) or Mean [SD] |
---|---|
Caregiver characteristics | |
Father | 46 (4.9) |
Mother | 837 (88.9) |
Others | 59 (6.2) |
Region (missing = 1) | |
Central | 687 (73.0) |
North | 118 (12.5) |
Northeast | 55 (5.8) |
South | 81 (8.6) |
Education level | |
Undergraduate | 111 (11.8) |
Bachelor’s degree | 540 (57.3) |
Higher degree | 291 (30.9) |
Household income (USD/month) a | |
<300 | 31 (3.3) |
300–900 | 236 (25.1) |
901–1500 | 233 (24.7) |
1501–3000 | 221 (23.5) |
>3000 | 221 (23.5) |
Sex of child | |
Male | 491 (52.1) |
Female | 451 (47.9) |
Type of schools | |
Private | 567 (60.2) |
Government | 263 (27.9) |
Demonstrate | 57 (6.1) |
International | 50 (5.3) |
Psychiatric diagnosis of child | |
Yes | 151 (16.0) |
No | 791 (84) |
Age of children (years) [Min = 5, Max = 15] | 8.54 [1.87] |
Effects | n (%) or Mean [SD] |
---|---|
COVID-19 infection | |
Child infected | 1 (0.1) |
Parent infected | 1 (0.1) |
Child quarantined due to being in a high-risk group | 13 (1.4) |
Parent quarantined due to being in high-risk group | 21 (2.2) |
Sleep problems | |
The problem has just presented or with more severity | 243 (25.8) |
The problem presented before and with equal severity | 113 (12.0) |
Problem presented before but with less severity | 9 (1.0) |
Appetite | |
Decrease | 475 (50.4) |
Increase | 365 (38.7) |
Same | 102 (10.8) |
Physical activities | |
<1 h/day | 548 (58.2) |
1–2 h/day | 303 (32.2) |
>2 h/day | 91 (9.7) |
Recreational activities | |
<1 h/day | 292 (31.0) |
1–2 h/day | 351 (37.3) |
>2 h/day | 299 (31.7) |
Family time | |
<1 h/day | 340 (36.1) |
1–2 h/day | 337 (35.8) |
>2 h/day | 265 (28.1) |
Screen time during COVID-19 pandemic | |
Increased from before pandemic | 811 (86.1) |
Decreased from before pandemic | 101 (10.7) |
Same as before pandemic | 30 (3.2) |
Duration of screen time | |
<3 h/day | 291 (30.9) |
3–5 h/day | 297 (31.5) |
>5 h/day | 213 (22.6) |
>7 h/day | 141 (15.0) |
Online classes | |
No | 149 (15.8) |
1–3 h/day | 480 (50.9) |
3–5 h/day | 238 (25.3) |
5–7 h/day | 75 (8) |
Parental supervision during screen time | |
No | 48 (5.1) |
Sometimes | 278 (29.5) |
Often | 356 (37.8) |
Always | 260 (27.6) |
SDQ Scale (Range) | n (%) or Mean [SD] | p-Value a | |
---|---|---|---|
Before | After | ||
Total difficulties (0–40) | 10.98 [4.81] | 12.90 [5.88] | <0.001 * |
Normal (0–15) | 776 (82.4%) | 650 (69.0%) | <0.001 * |
Borderline (16–18) | 106 (11.3%) | 134 (14.2%) | |
Abnormal (19–40) | 60 (6.4%) | 158 (16.8%) | |
Emotional problems (0–10) | 2.04 [1.69] | 2.60 [2.13] | <0.001 * |
Normal (0–4) | 869 (92.3%) | 770 (81.7%) | <0.001 * |
Borderline (5) | 41 (4.4%) | 70 (7.4%) | |
Abnormal (6–10) | 32 (3.4%) | 102 (10.8%) | |
Conduct problems (0–10) | 2.05 [1.41] | 2.53 [1.75] | <0.001 * |
Normal (0–3) | 809 (85.9%) | 698 (74.1%) | <0.001 * |
Borderline (4) | 92 (9.8%) | 115 (12.2%) | |
Abnormal (5–10) | 41 (4.4%) | 129 (13.7%) | |
Hyperactivity (0–10) | 3.93 [2.12] | 4.46 [2.42] | <0.001 * |
Normal (0–5) | 754 (80.0%) | 653 (69.3%) | <0.001 * |
Borderline (6) | 81 (8.6%) | 94 (10.0%) | |
Abnormal (7–10) | 107 (11.4%) | 195 (20.7%) | |
Peer problems (0–10) | 2.95 [1.61] | 3.30 [1.72] | <0.001 * |
Normal (0–4) | 787 (83.5%) | 715 (75.9%) | <0.001 * |
Borderline (5) | 93 (9.9%) | 126 (13.4%) | |
Abnormal (6–10) | 62 (6.6%) | 101 (10.7%) | |
Prosocial behavior (0–10) | 6.96 [1.89] | 6.82 [1.98] | <0.001 * |
Normal (5–10) | 873 (92.7%) | 846 (89.8%) | <0.001 * |
Abnormal (0–4) | 69 (7.3%) | 97 (10.2%) |
Variables | β | (95% CI) | p-Value |
---|---|---|---|
Parental stress | |||
Emotional problems change | 0.0773 | (0.0099, 0.1446) | 0.025 * |
Conduct problems change | 0.0208 | (−0.0521, 0.0936) | 0.576 |
Hyperactivity change | 0.0633 | (−0.0059, 0.1326) | 0.073 |
Peer problems change | 0.0795 | (0.0183, 0.1408) | 0.011 * |
Family strength | 0.0491 | (−0.0114, 0.1095) | 0.111 |
Family difficulty | 0.2597 | (0.1867, 0.3327) | <0.001 * |
Family communication | −0.0364 | (−0.1117, 0.0389) | 0.343 |
Child’s age | −0.0522 | (−0.1108, 0.0063) | 0.080 |
Psychiatric diagnosis | 0.0489 | (−0.0077, 0.1054) | 0.090 |
Sleep problems | 0.2267 | (0.1692, 0.2842) | <0.001 * |
Appetite changes | −0.0655 | (−0.1224, −0.0086) | 0.024 * |
Physical activities ≥ 1 h/day | −0.0317 | (−0.0894, 0.0260) | 0.282 |
Screen time ≥ 3 h/day | 0.0472 | (−0.0118, 0.1061) | 0.117 |
Emotional problems change | |||
Family difficulty | 0.0812 | (0.0064, 0.1560) | 0.033 * |
Family communication | 0.0077 | (−0.0647, 0.0801) | 0.834 |
Psychiatric diagnosis | 0.0210 | (−0.0324, 0.0743) | 0.441 |
Sleep problems | 0.1969 | (0.1351, 0.2587) | <0.001 * |
Appetite changes | −0.0478 | (−0.1102, 0.0145) | 0.133 |
Physical activities ≥ 1 h/day | −0.0732 | (−0.1355, −0.0109) | 0.021* |
Recreational activities ≥ 1 h/day | −0.0241 | (−0.0851, 0.0370) | 0.439 |
Screen time ≥ 3 h/day | 0.0467 | (−0.0146, 0.1081) | 0.136 |
Conduct problems change | |||
Family strength | 0.0417 | (−0.0147, 0.0981) | 0.147 |
Family difficulty | 0.0413 | (−0.0303, 0.1129) | 0.259 |
Family communication | 0.0070 | (−0.0610, 0.0749) | 0.841 |
Sleep problems | 0.1284 | (0.0659, 0.1909) | <0.001 * |
Appetite changes | −0.0894 | (−0.1516, −0.0272) | 0.005 * |
Physical activities ≥ 1 h/day | −0.0096 | (−0.0735, 0.0543) | 0.769 |
Recreational activities ≥ 1 h/day | −0.0497 | (−0.1159, 0.0165) | 0.141 |
Family time ≥ 1 h/day | −0.0812 | (−0.1424, −0.0199) | 0.009 * |
Screen time ≥ 3 h/day | 0.0927 | (0.0311, 0.1543) | 0.003 * |
Hyperactivity change | |||
Family strength | 0.0707 | (0.0134, 0.1280) | 0.016 * |
Family difficulty | 0.0054 | (−0.0544, 0.0652) | 0.860 |
Sleep problems | 0.1515 | (0.0893, 0.2138) | <0.001 * |
Appetite changes | −0.0408 | (−0.1033, 0.0217) | 0.201 |
Physical activities ≥ 1 h/day | −0.0505 | (−0.1144, 0.0134) | 0.121 |
Recreational activities ≥ 1 h/day | −0.0186 | (−0.0859, 0.0487) | 0.587 |
Family time ≥ 1 h/day | −0.1037 | (−0.1678, −0.0396) | 0.002 * |
Screen time ≥ 3 h/day | 0.0821 | (0.0199, 0.1443) | 0.010 * |
Peer problems change | |||
Sleep problems | 0.0944 | (0.0312, 0.1577) | 0.003 * |
Appetite changes | −0.0645 | (−0.1280, −0.0011) | 0.046 * |
Physical activities ≥ 1 h/day | −0.1118 | (−0.1743, −0.0493) | <0.001 * |
Prosocial behavior change | |||
Income > 900 USD | 0.0960 | (0.0404, 0.1516) | 0.001 * |
Child’s age | −0.0916 | (−0.1502, −0.0331) | 0.002 * |
Sleep problems | −0.0566 | (−0.1195, 0.0062) | 0.077 |
Appetite changes | 0.0610 | (−0.0018, 0.1239) | 0.057 |
Physical activities ≥ 1 h/day | 0.0918 | (0.0273, 0.1563) | 0.005 * |
Recreational activities ≥ 1 h/day | 0.0896 | (0.0221, 0.1572) | 0.009 * |
Family time ≥ 1 h/day | 0.0232 | (−0.0443, 0.0906) | 0.500 |
Screen time ≥ 3 h/day | −0.0048 | (−0.0682, 0.0586) | 0.882 |
Family strength | |||
Income > 900 USD | −0.1091 | (−0.1710, −0.0473) | 0.001 * |
Sleep problems | 0.0998 | (0.0372, 0.1624) | 0.002 * |
Appetite changes | −0.0362 | (−0.0995, 0.0270) | 0.261 |
Physical activities ≥ 1 h/day | −0.0476 | (−0.1087, 0.0134) | 0.126 |
Recreational activities ≥ 1 h/day | −0.1131 | (−0.1794, −0.0468) | 0.001 * |
Family time ≥ 1 h/day | −0.0220 | (−0.0890, 0.0450) | 0.521 |
Screen time ≥ 3 h/day | 0.0234 | (−0.0402, 0.0869) | 0.471 |
Family difficulty | |||
Income > 900 USD | −0.1486 | (−0.2092, −0.0880) | <0.001 * |
Child’s age | −0.0297 | (−0.0792, 0.0199) | 0.241 |
Psychiatric diagnosis | 0.0423 | (−0.0061, 0.0907) | 0.087 |
Sleep problems | 0.1856 | (0.1247, 0.2465) | <0.001 * |
Appetite changes | −0.0742 | (−0.1363, −0.0121) | 0.019 * |
Recreational activities ≥ 1 h/day | −0.0346 | (−0.0843, 0.0151) | 0.173 |
Family communication | |||
Income > 900 USD | −0.0784 | (−0.1409, −0.0159) | 0.014 * |
Sleep problems | 0.1371 | (0.0745, 0.1996) | <0.001 * |
Appetite changes | −0.0636 | (−0.1270, −0.0003) | 0.049 * |
Screen time ≥ 3 h/day | 0.0528 | (0.0027, 0.1028) | 0.039 * |
RMSEA | 0.017 | ||
SRMR | 0.019 | ||
CFI | 0.995 | ||
TLI | 0.985 |
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Jetiyanuwat, S.; Kawilapat, S.; Narkpongphun, A.; Pojanapotha, P. Association between Family Functioning, Child Emotional and Behavioral Problems, and Parental Stress during the COVID-19 Pandemic in Thailand. Behav. Sci. 2024, 14, 270. https://doi.org/10.3390/bs14040270
Jetiyanuwat S, Kawilapat S, Narkpongphun A, Pojanapotha P. Association between Family Functioning, Child Emotional and Behavioral Problems, and Parental Stress during the COVID-19 Pandemic in Thailand. Behavioral Sciences. 2024; 14(4):270. https://doi.org/10.3390/bs14040270
Chicago/Turabian StyleJetiyanuwat, Sawitree, Suttipong Kawilapat, Assawin Narkpongphun, and Pichaya Pojanapotha. 2024. "Association between Family Functioning, Child Emotional and Behavioral Problems, and Parental Stress during the COVID-19 Pandemic in Thailand" Behavioral Sciences 14, no. 4: 270. https://doi.org/10.3390/bs14040270
APA StyleJetiyanuwat, S., Kawilapat, S., Narkpongphun, A., & Pojanapotha, P. (2024). Association between Family Functioning, Child Emotional and Behavioral Problems, and Parental Stress during the COVID-19 Pandemic in Thailand. Behavioral Sciences, 14(4), 270. https://doi.org/10.3390/bs14040270